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Pseudo pancreatic cyst in acute pancretitic patient - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3544 Questions
User :   hi
Doctor :   hi
Doctor :   how can i help you
User :   ulta sound report :

User :   * ENLARGED HYPOECHOIC PANCREAS WITH ILL DEFINED IRREGULAR MARGINS.
* LITTLE FLUID COLLECTION SEEN IN THE LESSER SAC.
*A FLUID COLLECTION SEEN IN THE ANTERIOR PARARENAL SPACE ANTERIOR TO THE BODY OF PANCREAS.
*A WELL DEEFINED FLUID COLLECTION SEEN AROUND THE PANCREAS IN THE TAIL OF PANCREAS
*ACUTE PANCREATITIS WITH PSEUDO PANCREATIC CYST
* FREE FLUID SEEN IN THE PERITONEAL CAVITY

Doctor :   ok
Doctor :   ok
Doctor :   proceed
User :   acctually i want to know is it chronic pancreatitis or acute
Doctor :   It is acute pancreatitis
User :   i have this problem from 3 jan
Doctor :   ok
User :   but still i am not improve
User :   still unable to eat, accept liquid diet
User :   when ever i take any thing i feal pain like swilling in stomac
User :   in many areas
Doctor :   ok
Doctor :   Mr. XXXXXXXX
Doctor :   You are having pseudo pancreatic cyst which is the most common complication of acute pancreatitis
Doctor :   Have you undergone any surgery after your pancreatitis attack
Doctor :   how old is your ultrasound report?
User :   at once doctor put injection for to come out PSEUDO fluid from the stomac
User :   it was near around 300 ml
Doctor :   ok
User :   24 april
Doctor :   ok
User :   injection date 7 march
Doctor :   ok
User :   ultrasound date 24 aprail
Doctor :   when did your first attcked with pancreatitis?
User :   3 jan
Doctor :   ok
User :   its an alchohlic
Doctor :   ok
User :   but i stop alchol from 3 jan
Doctor :   pseudo pancreatic cyst is a common complication in acute pancretitic patients
Doctor :   Doctors usually prefer surgery after 6 weeks if it attains a certain size
User :   let me tell u the size
Doctor :   if at all it is less than the 6 cm doctors prefer medical treatment over surgery
Doctor :   ok
Doctor :   proceed
User :   there is a small fluid collection seen around the pancreas in th tail of pancreas which measures appx 67mm x 35 mm in size
Doctor :   ok
User :   lesser sec which mesures appx 25 x 32 mm
Doctor :   it is smaller so , usually doctors wont prefer surgery
Doctor :   lesser sac is a normal abdominal cavity , no need to worry about it
User :   if everthing is normal then after passing a long time why i am not improving
User :   sir
Doctor :   ok

Doctor :   let me tell you
Doctor :   pseudo pancreatic cyst is collection of pancreatic juices
Doctor :   so normal physiological pancreatic secretions collect in that cyst
Doctor :   so it usually takes months together to get rid of it
Doctor :   meanwhile what you have to do is , decrease the amount of fat in your food
Doctor :   and avoid smoking and alcohol
Doctor :   take nutricious diet
User :   i never smoke before , and normaly i take only banana , milk , mong ki daal ki kichdi, and dahi
Doctor :   ok
Doctor :   limit the fatty foods , because they cause strain to pancreas
Doctor :   I appreciate your habits ,
Doctor :   but it is usual physiological phenomenon, which takes months to clear .
User :   tell me doctor one thing yestrday night i take rice and it start pain in my stomac and still i have little
User :   tell me if pain will happen always after some days then how i will improve
Doctor :   k
Doctor :   u have to take pain killers that is analgesics regularly as per doctors advice
User :   i am taking
User :   but tell me pain can be infect to improve better
User :   but tell me doctor pain can be infect to improvement
User :   hi
User :   h


Doctor :   ya
Doctor :   definitely you will get improvement
Doctor :   but some times , acute pancreatitis will be converted into chronic pancreatic episodes where you will get pain episodes occasionally , which you have to take care off with analgesice
User :   how i will know about it
Doctor :   Now your condition is in between acute and chronic pancreatitis ,
Doctor :   after few months , you will get rid of pseudo pancreatic cyst and , necrotic region of your pancreas become calcify .
Doctor :   then you will get free of all your symptoms , excet pain abdomen once in 2-3 months which will usually comes undercontrol with normal pain killers
User :   its mean i will able to take everthing on that time and my waight will increase


Doctor :   definitely , you will get rid of this soon
User :   how it all will possiable
Doctor :   there is some technical problem can u close the window and log in again
User :   let me show u the ultra sound report before 24 aprail
User :   now is it ok
User :   ?
Doctor :  
Doctor :   it will be ok within few weeks
User :   ENLARGEDHYPOECHOIC PANCREAS WITH WELL DEFINED IRREGULAR MARGIN SUGGESTIVE OF ACUTE PANCREATITIS
Doctor :   ok
User :   A SMALL FLUID COLLECTION SEEN IN THE LESSER SEC
Doctor :   ok
User :   NO FLID SEEN IN THE ANTERIOR PARARENAL SPACE ON LT SIDE
User :   SMALL LT PLEURAL EFFUSION ? SYMPATHETIC
User :   ITS 16 MARCH ULTRA SOUND REPORT
Doctor :   ok
Doctor :   Apr 24 th u/s is enough to assess your condition
Doctor :   previous u/s scans are not needed
User :   OK


User :   I JUST WANT TO KNOW MY CONDITION IS GOING BAD DAY BY DAY ?
Doctor :   no
Doctor :  
User :   then
Doctor :   if you take proper measures you will become healthy soon
User :   i want to tell u one thing i admit in to the hospital regading this issue 3 time
User :   last time 25 april
User :   and from that day i feal pain 2 time
User :   yesterday and some days before
Doctor :   ok
Doctor :   are you using analgesics
User :   analgesics ?
Doctor :   pain killers
User :   some time when i have a pain


User :   spasmoproxyvon , ugesic
Doctor :   is it helping you get rid of pain
User :   i feal to type of pain
User :   a pain which appear suddenly and stop after taking tablet
User :   and other type it feal swling inside of stomac
Doctor :   ya
User :   and not go easly
Doctor :   that is the spasmodic pain thats why you will feel like that
Doctor :   you have to take analgesics for few more weeks until your inflammation heal off
Doctor :   do you understand what i said
User :   little bit
Doctor :   ok
User :   is i need to take pain killer everyday
Doctor :   let me know if you have any more questions ,
Doctor :   i feel happy to answer them
User :   is i need to take pain killer every day
Doctor :   whenever you get pain you have to take pain killer
Doctor :   until your inflammation goes
User :   and how the inflame will go from pancrease
Doctor :   it naturally heals
User :   ok
User :   bye
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